Individual
ANDREA HIEBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
513 E 97TH ST, ODESSA, TX 79765-1490
(940) 613-4806
Mailing address
513 E 97TH ST, ODESSA, TX 79765-1490
(940) 613-4806
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1006197
TX
Other
Enumeration date
07/30/2020
Last updated
07/30/2020
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